RESUMEN
Lichen sclerosus (LS) is a rare, chronic, inflammatory disease of the skin that primarily affects postmenopausal women but may occur in men and children as well. Approximately 7% to 15% of cases are believed to occur in children. The epidemiologic data for LS have been limited and treatment options are not well studied, particularly in children. We reviewed new developments available in the current literature on the epidemiology and management of LS for children.
Asunto(s)
Liquen Escleroso y Atrófico/tratamiento farmacológico , Liquen Escleroso y Atrófico/epidemiología , Calidad de Vida , Administración Oral , Administración Tópica , Adolescente , Corticoesteroides/uso terapéutico , Distribución por Edad , Niño , Preescolar , Femenino , Humanos , Inmunosupresores/uso terapéutico , Liquen Escleroso y Atrófico/diagnóstico , Masculino , Retinoides/uso terapéutico , Medición de Riesgo , Índice de Severidad de la Enfermedad , Distribución por Sexo , Resultado del TratamientoRESUMEN
Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis.
Asunto(s)
Emigrantes e Inmigrantes , Leishmania guyanensis/fisiología , Leishmaniasis Cutánea/diagnóstico , Leishmaniasis Cutánea/parasitología , Adulto , Anfotericina B/uso terapéutico , Antiprotozoarios/uso terapéutico , Cuba , Femenino , Humanos , Leishmania guyanensis/efectos de los fármacos , Leishmaniasis Cutánea/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Panamá , Viaje , Estados UnidosRESUMEN
Bowen's disease (BD), or cutaneous squamous cell carcinoma (SCC) in situ, is rare in children. BD usually occurs in Caucasian adults on sun-exposed areas and may progress to invasive cutaneous SCC. Most cases of periungual BD have been linked to human papillomavirus infection. We report an immunocompetent child with periungual BD.
Asunto(s)
Enfermedad de Bowen/diagnóstico , Enfermedad de Bowen/inmunología , Inmunocompetencia , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/inmunología , Biopsia , Enfermedad de Bowen/patología , Preescolar , Femenino , Humanos , Neoplasias Cutáneas/patología , Pulgar/patologíaRESUMEN
Atopic keratoconjunctivitis is a chronic noninfectious inflammatory condition and is one of the most severe ophthalmic complications associated with atopic dermatitis. It requires prompt and effective treatment to prevent permanent vision loss. Complications of atopic keratoconjunctivitis include cataracts, keratoconus, infectious keratitis, blepharitis, tear dysfunction, and steroid-induced glaucoma. All treatment for atopic keratoconjunctivitis should be managed in conjunction with an ophthalmologist, and immediate referral is indicated when there is moderate to severe irritation, increased redness, discharge, or any visual symptoms. Treatment options include a combination of mast cell inhibitors, antihistamines, corticosteroids, and calcineurin inhibitors.
Asunto(s)
Catarata/prevención & control , Dermatitis Atópica/complicaciones , Queratoconjuntivitis/tratamiento farmacológico , Queratoconjuntivitis/etiología , Trastornos de la Visión/prevención & control , Corticoesteroides/uso terapéutico , Inhibidores de la Calcineurina , Catarata/etiología , Conjuntivitis Alérgica/tratamiento farmacológico , Conjuntivitis Alérgica/etiología , Conjuntivitis Alérgica/fisiopatología , Dermatitis Atópica/diagnóstico , Dermatitis Atópica/terapia , Quimioterapia Combinada , Diagnóstico Precoz , Femenino , Antagonistas de los Receptores Histamínicos/uso terapéutico , Humanos , Inmunosupresores/uso terapéutico , Queratoconjuntivitis/fisiopatología , Masculino , Pronóstico , Derivación y Consulta , Medición de Riesgo , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Trastornos de la Visión/etiologíaRESUMEN
We describe a patient with granuloma annulare (GA) who presented with firm periungual papules mimicking "coral beads", a characteristic sign of multicentric reticulohistiocytosis (MRH). We highlight the importance of distinguishing between GA and MRH because the prognoses differ significantly.